Individual provider · Type 1 NPI

Kimberley Lee Cook-Vaughn, LADC #624

Counselor · Tahlequah, OK

NPI number 1699092809 Active

Practice location

2511 S Muskogee Ave
Tahlequah, OK 74464-5459

Call (918) 431-0634 Map

Fax (918) 431-0654

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X624 (OK)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1699092809

Kimberley Lee Cook-Vaughn, LADC #624's National Provider Identifier is 1699092809, issued on Apr 27, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tahlequah, OK. The record was last updated on Oct 21, 2015.